Healthcare Provider Details

I. General information

NPI: 1801452032
Provider Name (Legal Business Name): CIL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 06/29/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 WOODHOLLOW DR
MARLTON NJ
08053-1051
US

IV. Provider business mailing address

1906 WOODHOLLOW DR
MARLTON NJ
08053-1051
US

V. Phone/Fax

Practice location:
  • Phone: 732-672-9054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JACKLYN YEE
Title or Position: MEMBER
Credential:
Phone: 732-672-9054